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See a sample rate comparisonCPT 84085 Fee Schedule
Medicare rates as of January 2026
CPT 84085 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Enzyme Blood Test, This Blood Test Measures The Amount Of The Enzyme 6-Phosphogluconate Dehydrogenase. It Is Present In Red Blood Cells And Helps To Metabolize Sugars.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | $9.44 national lab fee schedule rate (2026) · View Medicare rates for 84085 |
| Medicaid Fee Schedule | $8.725 median of the 8 states in the free preview · View Medicaid rates for 84085 |
National average reimbursement for CPT 84085 by major payers:
$7.79
BCBS / Anthem
$5.73
UnitedHealthcare
$9.64
Aetna
$13.87
Cigna
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CPT 84085
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$20.77Published rateColumbia Hospital At Medical City Dallas Subsidiary Lp, Medical City Dallas
$9.43Published rateLake Surgical Hospital Slidell, LLC
Lake Surgical Hospital Slidell, LLC Dba Southern Surgical Hospital
$9.43Published rateSt Francis Hospital, Inc., St. Francis Eastside
St Francis Hospital Inc
$8.50Published rateMatthew Lilley
The Orthopedic And Neurosurgical Center Of The Cascades
$3.96Published rate
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See a sample payer proposalCPT 84085 vs. Other Chemistry Procedures Codes
The table lists codes related to 84085. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 84085-CPT | Low | Enzyme Blood Test, This Blood Test Measures The Amount Of The Enzyme 6-Phosphogluconate Dehydrogenase. It Is Present In Red Blood Cells And Helps To Metabolize Sugars. |
| 84087-CPT | Low | Enzyme Activity Test, This Test Measures Phosphohexose Isomerase An Enzyme That Works On Digestion Of Fructose (A Sugar). |
| 84105-CPT | Low | Phosphorus Trace Element Test, The Urine Phosphorus Test Checks For Calcium Absorption And Kidney Function. Phosphorus Is A Trace Element Required For Proper Digestion Bone Formation And Kidney Health. It Aids The Balance Of Calcium Potassium And Glucose. |
| 84132-CPT | Low | Potassium Electrolyte Test, Potassium Is An Electrolyte Critical For Heart And Skeletal Muscles. The Blood Test Measures Overall Potassium. The Urine Test Verifies High Levels Related To Kidney Disease. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84085. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84085 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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